本文選題：畸胎瘤 + 副瘤綜合征��； 參考：《中國婦產(chǎn)科臨床雜志》2017年03期

【摘要】：目的探討抗NMDAR腦炎合并卵巢腫瘤患者的臨床特點,診斷標準及治療方法。從而總結(jié)出適用于婦科醫(yī)生的相關診療方案,提高婦科醫(yī)生對該病的認識,并指導對該病的診治,改善患者預后。方法回顧性分析2013年12月至2015年12月首都醫(yī)科大學宣武醫(yī)院收治的抗NMDAR腦炎合并卵巢腫瘤的6例臨床資料。分析該病臨床特點,診斷方案及治療方法,并進行歸納分析。結(jié)果抗NMDAR腦炎患者臨床表現(xiàn)特異性較差,頭顱MRI等缺乏特異性,腦脊液抗NMDAR抗體檢測為診斷的關鍵。及時診治,預后較好。結(jié)論該病診治難度大,作為婦科醫(yī)生要充分認知該疾病,能為婦科卵巢腫瘤篩查、診斷及治療提供重要意見,同時也能給予及時手術(shù)干預,改善預后。
[Abstract]:Objective to investigate the clinical features, diagnostic criteria and treatment of anti NMDAR encephalitis complicated with ovarian tumor. Therefore, the related diagnosis and treatment scheme for gynecologists is summarized to improve their understanding of the disease, to guide the diagnosis and treatment of the disease, and to improve the prognosis of the patients. Methods from December 2013 to December 2015, 6 cases of NMDAR encephalitis complicated with ovarian tumor were retrospectively analyzed. The clinical features, diagnosis and treatment of the disease were analyzed and summarized. Results the specificity of anti NMDAR encephalitis was poor and the MRI of head was not specific. The detection of anti NMDAR antibody in cerebrospinal fluid was the key to diagnosis. Timely diagnosis and treatment, better prognosis. Conclusion the diagnosis and treatment of the disease is very difficult. As a gynecologist, it can provide important advice for the screening, diagnosis and treatment of gynecologic ovarian tumor, and can also provide timely surgical intervention to improve the prognosis.
【作者單位】： 首都醫(yī)科大學宣武醫(yī)院婦產(chǎn)科;
【分類號】：R737.31;R742.9

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